Mount Carmel Hospital 2013

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Editor: Ruairi Kavanagh Design & Layout: Linda Kavanagh Advert Design: Alan McArthur, Rebecca Dobson Illustrations & Photography: iStockphoto.com, Thinkstock Production Manager: Leonard Wilson Sales Director: Paul Clemenson Published on behalf of Mount Carmel Hospital by: Ashville Media Group Old Stone Building, Blackhall Green, Dublin 7, Ireland Tel: (01) 432 2200 Fax: (01) 672 7100 www.ashville.com All articles Š2013. No part of this may be reproduced, stored in a retrieval system or transmitted in any form or by any means without written permission from the publisher. Opinions and comments expressed herein are not necessarily those

Contents 3 CEO Welcome

13 Ultrasound

of Ashville Media Group. readers should make their own independent evaluation of the information contained within this publication and make such other investigations as they

25 Gynaecology

consider necessary (including obtaining independent financial

4 Quality and Accreditation

14 Obstetrics

27 Gastroenterology

16 Orthopaedics

28 Endoscopy

17 Cardiology

30 Respiratory Medicine

18 Special Care Baby Unit

31 Endocrinology

20 Nutrition

32 Dermatology

22 Physiotherapy

33 Consultant Directory

24 Ophthalmology

36 Patient Information

advice) before acting in reliance on this information.

6 Laboratory Services 8 Infection Control 10 Pharmacy 11 Pastoral Care 12 Surgical Care

Mount Carmel Hospital

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CEO Welcome

Leading the Field CEO of Mount Carmel, Mr John O’Brien, explains what the ethos of the hospital is and how it will continue to develop its services, staff and technology to deliver the best in private medical care.

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ount Carmel Hospital (MCH) is a well established and respected, independent private hospital with focused healthcare for maternal care, general adult health and paediatric care. An emphasis on women’s health is one of our core strengths. We have 94 inpatient beds, 29 daycare beds, a four bedded High Dependency Unit and a five bedded Delivery/ Assessment Suite.

Mount Carmel Hospital is located ten minutes from the M50 and 15 minutes from the city centre.

The hospital is widely known for maternity care and the only private maternity hospital in the country. However this represents only 30 per cent of the hospitals business.

In order to deliver excellence in patient care, MCH has extremely low infection rates, high nurse-to-patient staff ratios, no waiting lists and superb clinical outcomes. The hospital holds the prestigious Joint Commission International (JCI) accreditation standard. This internationally recognised standard reflects Mount Carmel’s commitment to providing the highest quality patient care.

A re-development programme commenced in 2011 with several departments upgraded to date including: • Refurbishments in theatres • A third external theatre was developed for side room procedures • A new patient services centre in the main reception • A new dedicated Women’s Health Unit with ten consultation rooms and a Pregnancy Ultrasound Suite • Outpatient facilities expanded for consultant assessment/diagnosis • Upgraded car parking facilities and increased capacity for parking • New lifts As MCH is the only private maternity hospital in Ireland, we have an international reputation for the delivery of high quality services including maternity and paediatric care as demonstrated through our JCI accreditation.

This reputation is vitally important in order to further recruit high quality staff as demonstrated through the recruitment of two additional specialist Consultants, Prof. Walter Prendiville and Mr. Peter Lenehan.

Mount Carmel Hospital has also developed some

clinical links with national teaching hospitals to further enhance the delivery of services. This reputation has led to the development of some new exciting international links with the UK, USA, Middle East and Spain.

The other major part of our inpatient business is the dedicated Orthopaedic Unit where we conduct 500 joint replacements (approx) each year. We have a multi disciplinary orthopaedic service including physiotherapy rehabilitation. Other areas of significant activity include specialist clinics, some tailored treatment plans such as direct access endoscopy and direct access colposcopy, women’s health, paediatric surgery services and general surgery. Prof Walter Prendiville, the leading colposcopy specialist in the country, is

based at Mount Carmel and he provides some of the best clinical outcomes in Europe which are instrumental in detecting pre cancer cells.

In addition, Mr Peter Lenehan, Ms Mona Joyce and Ms Andrea Nugent provide a colposcopy service as part of the women’s health team.

At Mount Carmel Hospital, we have also established ourselves as leaders in the field of endoscopy care, with dedicated facilities guaranteeing a smooth, swift process. We guarantee affordable care that is possible with the average level of health insurance.

The hospital is a calm, patient-focused place where we balance excellent clinical staff with a holistic view of providing for the patient’s well-being.

Mr. John O’Brien, CEO

Mount Carmel Hospital

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09/07/2013 12:33:13

Quality and Accreditation

Setting the Standard Head of Hospital Quality and Risk, Pearl Crosby, explains her role at the hospital and why Mount Carmel is internationally recognised as consistently achieving high standards.

“I

’ve worked here at the hospital for eight years, working at first in the Pathology Department as the Pathology Quality Manager and Head of Biochemistry, before taking on my current role as Head of Quality and Risk, which is to ensure that the highest standards are met and maintained here at Mount Carmel Hospital,” she explains.

“In the Quality and Risk Department, we manage and monitor all quality and risk issues and incidents reported by staff in the hospital and co-ordinate, in conjunction with a PALS (Patient Advice Liaison Service) officer, Ms Pamela O’Neill, which addresses any complaints or concerns which patients may have,” Pearl adds.

At Mount Carmel, feedback is solicited from all patients who avail of services or treatments at the hospital and Pearl indicates that: ‘We are returned a high number of patient survey forms on an ongoing basis, which we then enter into our Quality Database.

This information is then acted upon to generate a report for follow up in the various departments.’ The

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patient survey feedback, in conjunction with incident reports and standards, helps to co-ordinate and drive departmental audits in terms of quality practices.

The hospital is accredited under the most exacting standards by the Joint Commission International (JCI) and is also a member of the European Framework for Quality Management (EFQM), which has its own excellence awards and allows Mount Carmel to measure its standards against those of its European peers. JCI is an independent international organisation focused on improving the safety of patient care. Achieving and maintaining accreditation indicates a hospital’s commitment to providing the highest standards and best practices for patient care. Accreditation promotes patient confidence by assisting an organisation to ensure a safe and effective environment for the delivery of health care.

“We are also involved in setting up the quality systems here in line with the National Draft HIQA standards, and maintaining and continuously improving the systems we have in place. It’s a process of

continuous improvement and maintenance of standards at such a level that we are, in effect, ‘audit ready’ at all times.”

Alongside her colleagues Pamela O’Neill and Roisín Featherstone, Pearl uses the Q-Pulse IT based quality management system, which makes it easier and more streamlined to manage the oversight of quality within the hospital. “Quality and the maintenance of standards are vital for both Patient and Staff Safety here at Mount Carmel and that’s what we work hard to maintain,” adds Pearl.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

Mount Carmel Hospital

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Laboratory Services

Laboratory Services At Mount Carmel

The range of laboratory services available at Mount Carmel continues to keep pace with the broad range of services which the hospital provides. Pathology Services Manager, Nuala Merrin, explains.

Nuala Merrin heads a team of 14 scientific and admin staff at the lab. “We conduct a broad range of testing here, with our histology, endocrinology and blood transfusion capabilities particularly in demand. We also provide blood testing for the GP community.”

“My role here is to manage workflow at the laboratory and to ensure that everything is done to the highest possible standards. The laboratory itself is partially accredited by the Irish National Accreditation Board

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(INAB) and the hospital is Joint Commission International (JCI) accredited. INAB is the gold standard when it comes to laboratory accreditation and it provides evidence of a commitment to quality and standards at all levels.”

In the laboratory at Mount Carmel, as with all other departments in the hospital, the focus is always on the patient. The guiding principal for any modern laboratory is to add a valued service to the hospital and improve the services available to the patients. Patient satisfaction is the ultimate measure of performance. “We work with a very good team here at Mount Carmel,” adds Nuala. “I continuously analyse the workflow and test requesting patterns of the clinicians both internal and external, ensuring that policies and practices are in place and also identifying

what improvements, modifications or new equipment may be necessary to keep abreast of current best practice.”

The laboratory has recently invested in an automated blood grouper to assist in driving efficiencies and service and, more importantly, to guarantee a safe blood transfusion service. “We have a strong working relationship with other departments within the hospital and I think that is one of the strongest parts of the dynamic of Mount Carmel hospital,” adds Nuala. “We have increased our histopathology and endocrinology services in line with the caseload at the hospital and look forward to continuing to develop laboratory services in line with the development of procedures at Mount Carmel Hospital, to assist our medical staff in delivering the best possible care to our patients.”

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

©Ryan McVay/Digital Vision/Thinkstock

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he laboratory at Mount Carmel is a full-dservice facility for the hospital, offering key services, primarily: • Haematology (including coagulation) • Biochemistry • Endocrinology • Microbiology • Blood transfusion • Histology

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Infection Control

Infection Control

at Mount Carmel

The highest standards of infection control are strictly observed in Mount Carmel to ensure patient and staff safety, explains Anne Marie Ward, Infection Control Officer.

A comprehensive infection control programme is in place at the hospital, with protocols reviewed on a regular basis and adapted to adhere to national and international best practice guidelines.

“In order to maintain and improve our standards in reducing the transmission of infection, we focus on hand hygiene practice and environmental hygiene,” says Anne Marie Ward.

Monthly audits enable the team to ascertain the overall cleanliness in all areas together with hand hygiene audits and training and education ensuring strict adherence to proper hand washing technique.

“To date, our infection rates are below average

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for a hospital our size with an overall infection rate of 1.15 per cent in 2012,” adds Anne Marie.

“Our standards are very robust, with consistent training and updating for staff. We adhere to the standards set by JCI and also HIQA, across the board. We also have a full Clinical Sterile Supply Department (CSSD), with full traceability of all items used.”

Together with environmental and hand hygiene awareness, robust surveillance is in place in order to monitor surgical site infection rates and these include, but are not limited to, orthopaedic and obstetric surgery. In 2012 the hospital saw belowbenchmark results for their hip prosthesis surgery and a marked improvement in obstetric post operative surgical site infection rates.

Ongoing education both at department level and in the classroom ensures that all staff are updated on current trends within the infection control arena. The successful team guaranteed the hospital was not exposed to a ‘winter vomiting’ outbreak due to the measures they implemented during the norovirus season.

Resources are allocated to maintain the highest of standards in the infection control area.

The Hospital Infection Control Committee includes members of the multidisciplinary team and is very active in addressing any issues that should arise along with advising, supporting and providing expertise to the Infection Control Team. “My role is very varied and constantly changing with developments at Mount Carmel. Hygiene is everyone’s responsibility and we are committed to continuing to ensure patient and staff safety by improving our practices to maintain our very high standards.”

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

©Stockbyte/Thinkstock

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nfection control plays an important role in the overall success of the hospital.

The aim of the Infection Control Plan (ICP) at Mount Carmel Hospital is to reduce healthcare associated infections and the costs associated with these infections in order to maximise patient satisfaction and ensure a reputation as a facility based on best practice and excellent patient care.

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09/07/2013 12:33:41

Pharmacy

Pharmacy Services at Mount Carmel Claire McSherry, Pharmacy Services Manager, explains the role of her department at the hospital and how the pharmacy is involved in ensuring optimum care for patients.

To oversee and provide guidance for the use of pharmaceutical products in Mount Carmel, the hospital has a Drugs and Therapeutics Committee and there is a rigid and documented process for

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the request of any new medications, which must first be approved by the Committee.

“There are five full-time staff employed in Pharmacy Aervices at Mount Carmel and at all times of day or night there is at least one on-duty with one other on call. Like all departments at the hospital, the pharmacy is constantly busy, dealing with the requirements of each new patient at the hospital.”

In addition to catering for the pharmaceutical needs of the patient population, the pharmacists at Mount Carmel are also very much involved in the risk management processes within the hospital. “In the rare case of a problem, we conduct a full adverse incident review and we are also involved in the clinical guidance process in relation

to any patient, where relevant.”

The daily duty of the onduty pharmacists would see them monitoring the medication chart for each inpatient, each day. “We are also heavily involved in education and would lecture on relevant procedures and any changes to processes within the hospital relating to medication,” adds Claire.

The pharmacy, as an integral part of the hospital, is also very much involved in the continuing achievement of Mount Carmel Hospital in retaining its JCI accreditation. “With the standards required here, the pharmaceutical department is very much part of the JCI process, with particular responsibilities for driving policies and procedures in relation to patient medication management,” explains Claire.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

©Hemera/Thinkstock

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aving worked at the hospital for nine years, Claire McSherry is well-placed to observe the continuing evolution of Mount Carmel as a provider of the best in medical care across all major disciplines: “Working primarily with inpatients at the hospital, our primary duty is to ensure that all pharmaceutical needs for the patient community are catered for. We also address all queries regarding medication for any particular patient and we also make any necessary adjustments to patients during the course of their treatments or their time at the hospital.”

Mount Carmel Hospital

09/07/2013 12:33:49

Pastoral Care

A Holistic Approach Emotional support for dealing with difficult situations is another vital aspect of the all-round approach to patient care at Mount Carmel, explains Health Care Chaplain, Helen Miley.

“What we do is try to create a calm environment for them, to make them understand that there is no time limit or hurry for dealing with difficult situations. We help guide them through that to a place where they are better informed and able to make difficult decisions to enable them to move forward,” explains Helen.

©George Doyle/Stockbyte/Thinkstock

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astoral care services at Mount Carmel Hospital take a holistic approach to each individual that they work with and attempt to ensure that the emotional, as well as the practical, needs of patients are met. Pastoral care support is nonjudgmental and welcoming of all faith backgrounds. It is available to all patients in Mount Carmel. The team offers their time to service users through emotional support, bereavement counselling and reflection services.

“My role here is Health Care Chaplain,” explains

Helen Miley, “The majority of our cases would involve support to expectant mothers with complications and support to mothers who have suffered a miscarriage or indeed, stillbirth.”

Pastoral care services at the hospital offer a professional counselling service through one-to-one sessions, which helps those who are suffering from the trauma of bereavement or the illness of a child and helps them to create a space in which they can deal with this difficult information and begin a process of understanding, and eventually, healing.

“Emotional support needs to be present throughout the entire process, from the difficult days after a bereavement or bad news, right through to the grieving process and the learning-to-cope phase.

We tailor a service that is suitable to each case and all cases are completely unique. Although the pastoral care services at the hospital are rooted in the Christian tradition, there is absolutely no religious dogma of any kind to the services which we provide.

We deal with maternity patients, their families and also those who avail of the many other services here at Mount Carmel, such as pre-operative and post-operative patients.

We are here with them all the way and can also refer them to an external counselling services for further emotional support should that be necessary,” adds Helen.

“Pastoral Care support is nonjudgmental and welcoming of all faith backgrounds.

It is available to all patients in Mount Carmel.”

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

Mount Carmel Hospital

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Surgical Care

Operational Effectiveness

Boasting eight operating theatres with the latest in medical technology and adhering strictly to best international practice, Mount Carmel Hospital is ideally placed to offer an excellent level of surgical care to its patients.

Key to ensuring the smooth operating of the surgical facilities at Mount Carmel Hospital is the relationship

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between the consultant, nursing and administrative staff. “My own work is evolving on a daily basis, as no two days are the same in terms of the cases which we are seeing in surgery,” adds Breda. “What is of great benefit to the hospital is the level of experience we have in terms of our staff and how they work together. You simply cannot buy the expertise which we have here. We have nursing staff in particular who have worked here for many years and that’s a benefit as they build up a strong working relationship with the consultants.”

The surgical facilities themselves have all been significantly modernised at the hospital in the recent past, with new anaesthetic machines and complete refurbishments of the

theatres themselves. “We are consistently trying to take the service we provide to the next level, in terms of facilities, technology and procedures. Technology dictates the pace of progress in patient care and the hospital has invested heavily to ensure that we have the best of what is currently available,” she explains.

Breda adds that the ease of access to expert staff, streamlining of treatments and the comfort and security of the hospital makes it an excellent choice for patients.

“All patients are monitored along every step of their journey at Mount Carmel.

We have excellent systems in place to document all aspects of our patients experiences at the hospital and we hope to be able to further enhance and improve our services in the future,” adds Breda.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

©VILevi/iStockphoto

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reda Fogarty is the Theatre Manager at Mount Carmel Hospital, where there are seven general theatres, two with laminar clean airflow facilities and one minor surgical procedures suite. “My role here is to manage the theatres and their operational capacity and address all clinical management and related issues. The most important role of any department within the hospital is to ensure optimum care for our patients during their time at the hospital.

We have a tradition of providing an excellent level of patient care in a safe environment at every level,” she explains.

Mount Carmel Hospital

09/07/2013 12:33:58

Ultrasound

Imaging Your Future Obstetric Sonographer, Roisín Phelan, explains why the facilities and staff at Mount Carmel make it the best choice when it comes to monitoring the development of your baby.

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©iStockphoto/Thinkstock

aving spent 15 years at the hospital, Roisín Phelan is delighted with the new ultrasound facilities in the dedicated Women’s Health Unit at Mount Carmel. “It is a wonderful, bright, modern, welcoming facility. We have two new ultrasound bays here and we are developing a third in the near future. That means a complete suite of new equipment is now in place, amongst the finest available today. My role here, alongside my colleagues, is to provide obstetric scans for our patients at Mount Carmel, throughout the three trimesters of their pregnancy; covering the early scan, the anatomical scan and the foetal wellbeing scan.”

regarding each case and that can only be of benefit to our patients.”

In addition to obstetric ultrasounds, Roisín and her colleagues also provide fertility scanning as part of Mount Carmel’s fertility treatment services. While the clinic is busiest during the hours of the working day, there is always ultrasound cover in place. “We always have personnel available to deal with any situation which may require an ultrasound,” she says. Each scan takes in the region of 20 minutes and for the staff at the ultrasound department, the personal touch is very important. “The ultrasound is an immensely important part of the pregnancy for

the mother, and indeed the father, it is part of the process of bonding with the baby and we ensure that this is done in a caring, sensitive way which clearly explains the scan to the parent or parents. We factor enough time into each scan to talk to the patients and to get to know them, it is all part of what attending a hospital like Mount Carmel is about,” says Roisín.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

After the scan, reports and images are generated immediately, which adds to patient satisfaction, providing them with both precious memories and the peace of mind that comes with the excellent level of patient care at Mount Carmel.

At Mount Carmel, the ultrasound facilities are part of a system designed exclusively to provide the best inpatient care in a time and cost-efficient, streamlined manner. “The emphasis here is on specific one-to-one care,” explains Roisín. “Expectant mothers see the same consultant during the course of their pregnancy which is great for developing a relationship and ensuring peace of mind,” she adds. “We also have a strong relationship with the consultants

Mount Carmel Hospital

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Obstetrics

The Complete Maternity Solution A

t Mount Carmel, obstetric patients are guaranteed a level of excellence in antenatal and postnatal care, explains Dr Nugent. “We endeavour to place the expectant mother at the centre of our personalised service at all times. Whether our patients choose Combined Care or Consultant Led, all of our patients are primarily in the care of a consultant obstetrician. This level of service is unique to Mount Carmel.

“It is our aim to have a very private and personalised care plan for all expectant mothers which begins at the first visit through to the delivery and postnatal period.

The team at Mount Carmel will care for the woman and little one in a safe, calm environment. Our expertise provide the reassurance of optimum care throughout.” says Dr Nugent.

At her Mount Carmel clinic Dr Nugent provides both gynaecological and obstetric care for women, which provides the benefit of ongoing relationship and continuity of care, “Mount Carmel has significant ties with fertility units in Ireland and abroad. We

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“The team at Mount Carmel will care for the woman and little one in a safe, calm environment.” are personally delighted when patients we see for gynaecological and fertility needs subsequently avail of obstetric services at Mount Carmel. We know the difficult road they’ve travelled and strive to make the obstetric journey as safe and smooth as is possible,” she explains.

Dr Nugent’s clinic at Mount Carmel is designed as a complete solution for expectant mothers.

“Expectant mothers will receive personalised care dealing with their consultant throughout their pregnancy. In addition to dedicated, skilled midwifery and sonography staff who will guide them through every step of the way in a caring environment,” concludes Dr Nugent.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 499 6349

©KristinaGreke /iStockphoto

With experience at the highest level, Dr Andrea Nugent provides a total care package for women at Mount Carmel through all levels of their pregnancy, from post natal care to family planning, ultrasound during pregnancy, gynaecological visits and scans and fertility investigations.

Mount Carmel Hospital

09/07/2013 12:34:16

Obstetrics

Mount Carmel Satellite Clinic We are delighted to announce our New Satellite Maternity Clinic with Dr. Laoise O’Brien, which will be held on Tuesdays from 8am to 1pm and will allow patients to attend a consultant in the city centre but deliver their baby at Mount Carmel Hospital. Laoise O’Brien graduated from UCD Medicine in 2000. She

completed her specialist training in obstetrics and gynaecology in Ireland.

During this time she was Assistant Master in both National Maternity Hospital, Holles St and in The Rotunda Hospital.

She worked in Australia for three years to further her experience and education in labour ward management, obstetrics

Contact Details

and adolescent/paediatric gynaecology. She was Obstetric Fellow in The Royal Women’s Hospital Melbourne and worked in both King Edward Memorial Hospital & Princess Margaret Paediatric Hospital, Perth, Western Australia. She has a special interest in paediatrics and adolescent gynaecology.

Catherine Corcoran Medical Secretary Mount Carmel Hospital Braemor Park Churchtown Dublin 14, Ireland PH: 01 499 6349 FX: 01 499 6316 Email: corcoran@ mcm.ie

Mount Carmel Hospital

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09/07/2013 12:34:27

Orthopaedics

Orthopaedics

at Mount Carmel Hospital The orthopaedic team at Mount Carmel Hospital provide a wide range of services in all aspects of orthopaedic surgery specialising particularly in hip and knee replacements. The unit is staffed by nurses with many years experience in orthopaedics.

Orthopaedic Surgery will require physiotherapy following the procedure.

At Mount Carmel there is a team of chartered physiotherapists who will guide you through your rehabilitation. Sessions will be arranged throughout the day during your stay and they are available on-call out of hours.

Orthopaedic procedures include: • Hip replacement •H ip resurfacing •K nee replacement •C hevron osteotomy •R epair of capsule humerus / shoulder •C orrection of hammertoe •A cromioplasty •R epair of achilles tendon •R emoval of intervertebral disc •A rthroscopy

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•R emoval of ganglion cysts – hands •A rthroscopic menisceal repair •H and surgery (Faciectomy)

Orthopaedic PreAssessment All patients scheduled for joint surgery at Mount Carmel must attend the pre-assessment clinic following referral by their consultant. At the pre-assessment clinic, a comprehensive medical assessment takes place to ensure patients are fit for surgery thereby minimising risk, ensuring a speedy recovery and ensuring the patient is fully informed and prepared for the surgery.

Orthopaedic Surgical Equipment The dedicated orthopaedic operating theatre at Mount Carmel Hospital uses laminar flow ventilation, a proven method of minimising post operative infections which can impact on clinical outcomes. The

Orthopaedics Department works alongside a comprehensive diagnostic imaging department, which provides a service across a range of modalities. Like all other departments in the hospital, operating theatres in the orthopaedics ward are staff by highly trained nursing staff with excellent experience in orthopaedic surgery, which is of great assistance to the consultant surgeons. The hospital plans to further establish its very strong reputation in the field of orthopaedic surgery with a further expansion of services in line with the development of all clinical services at Mount Carmel Hospital.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 406 3465

©iStockphoto/Thinkstock

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t Mount Carmel Hospital there is a dedicated Orthopaedic Unit located on the ground floor, and situated close to the physiotherapy department.

This unit has capacity for 39 beds with semi private and private accommodation.

The High Dependency Facility services the unit when required and is located at ward level.

Mount Carmel Hospital

09/07/2013 12:34:34

Cardiology

Heart of the Matter Consultant Cardiologist, Dr Vincent Maher, explains how Mount Carmel is developing and expanding a comprehensive facility for the diagnosis and treatment of many cardiac conditions.

Creatas/Thinkstock

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n conjunction with other consultant colleagues, we are expanding Cardiology services at Mount Carmel.

Our involvement includes management of patients with varying cardiac disorders, such as heart in-efficiencies, refractory hypertension, arrhythmias, premature vascular events and multiple comorbidities in previously stable cardiac patients. Our non-invasive diagnostic service has expanded to provide trans-thoracic echocardiography, stress testing, ambulatory blood pressure and holter monitoring, event monitoring in addition to other procedures.

Other non-invasive vascular measurements such as Carotid Duplex sonography, abdominal aortic assessment by ultrasonography, peripheral vascular assessment and CT pulmonary arteriography compliment the cardiological assessment to help risk stratify our patients. For practical reasons, invasive cardiology procedures are not carried out at present at Mount Carmel. However, the current level of service will help provide a strong general cardiology service at the hospital,” says Dr Maher.

“It is hoped to expand the outpatient service to provide better access for GP referrals needing nonemergent but prioritised cardiological investigation.

Ideally, we hope to provide a comprehensive cardiac risk assessment for at risk patients in conjunction with our laboratory and radiological services. Our aim is to expand cardiac services at the hospital to include management of high-risk cardiac patients and those with other vascular disease,” added Dr Maher.

Future developments include the establishment of a weight optimisation service with a clinical team including physiotherapy, dietetics and nutrition, life coaching, cardiology and endocrinology. “The aim will be to tackle cases of moderate, manageable obesity within a multidisciplinary environment,” explains Dr Maher.

“One of the strongest aspects of Mount Carmel is the very high-level of staff expertise at all levels in the hospital. I believe that we have some of the best nursing staff in the country working at Mount Carmel. They are complemented by wellinformed, enthusiastic, energetic administrative and managerial staff throughout the hospital,” he added.

With an established and expanding range of cardiology procedures in place, cardiac services at Mount Carmel continues to evolve to provide a comprehensive, noninvasive diagnostic service for the management of most patients with cardiac disease.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 418 8478

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Special Gynaecology Care Baby Unit

Special Care Baby Unit at Mount Carmel

The Paediatric Department at Mount Carmel Hospital is equipped to give the best possible care to its patients. Dr Salias Satas discusses.

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Mount Carmel Hospital

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Special Care Baby Unit

The facilities The Paediatric Department at Mount Carmel Hospital consists of three independent, complimentary units; a Nursery, a Special Care Baby Unit (SCBU) and paediatric outpatient rooms. The SCBU is fully equipped to deal with most eventualities upon birth and has the facilities to care for premature babies who need help breathing or who need to be fed via tube.

The SCBU has recently been refurnished and its capacity increased to nine beds, including two high dependency beds which can cater to new born babies needing ventilator support.

The new isolation room in the SCBU is a welcome additional service. It provides a nursing facility for infants up to six weeks of age who need to be readmitted to the hospital for jaundice or feeding problems.

Emergency care There is a myth that Mount Carmel is unable to deal with emergency situations, however this is far from true. Our Special Care Baby Unit ensures that we are fully equipped to deal with babies born as premature as pre 30 weeks. We also have an adult High Dependency Unit should complications arise with the mum during or after birth.

Recent developments We have recently created a clinical governance system which has established approved treatment pathways. This means that everyone on the team,

doctors and nurses alike, will be on the same page when choosing a treatment method. This creates uniformity in approach and ensures that the best practice is always adhered to.

The team There is a slightly different structure in the Mount Carmel Paediatric Department than most other hospitals. There are no SHOs or registrars on the team which means a consultant will be respoinsible for the baby from the very beginning.

There is a consultant paediatrician on attendance 24 hours a day, making the neonatal service consultant led and delivered at all times. This is extremely beneficial to high risk pregnancy patients.

We also have experienced neonatal nurses on staff who are constantly upskilling and evolving with the field. We have an excellent working relationship with the Coombe Hospital and our neonatal nurses regularly attend training there to ensure they keep their qualifications up to the highest level. This year they completed a training programme in operating the neonatal Continuous Positive Airway Pressure (CPAP) driver which is needed by premature babies whose lungs have not fully developed. The CPAP prevents the lungs from collapsing. The next step in development will be intensive care training which they will undergo next year.

Personal approach to care At Mount Carmel, we provide an excellent professional service to our patients and we believe that building good personal relationships is just as important. On a human level we are there to offer support and advice to all of our new parents. We aim to send our mums and babies home well-rested and well-cared for and we have the facilities to ensure this is possible. If the mum needs recovery time after a Cesarean section, then she can spend as much time as she needs in the post-op recovery room. If she is in a position to care for her baby then the baby will stay with her in her room.

However if she needs rest, then the baby will be cared for in the nursery.

Premature babies are slow to establish feeding and must be tube-fed for some time until they are more developed. During this time if the mother has been discharged, she is free to spend as much time as possible with her baby and the breastfeeding co-ordinator will help the mum to start feeding as soon as the baby is ready.

If the baby needs to spend some time in the SCBU, parents have free access to visit as frequently as they wish.

We have a double check system whereby the baby is examined by the consultant paediatrician once they are born and examined again before they are discharged.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 406 3465

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Nutrition

Nutrition & Dietetics at Mount Carmel T

he Dietetics and Nutrition department at the hospital is extremely busy, utilising four dieticians to cater for the requirements of the patient population.

“We perform a variety of services here,” says Ann. “We deal with the maternity cases and those admitted to the hospital for other procedures. In terms of maternity cases, we examine the nutritional needs for expectant mothers and help deal with issues such as gestational diabetes.

We also perform a glucose tolerance test at the 26 week stage of the pregnancy. For maternity cases, it’s vital that a healthy, balanced and nourishing diet is in place and we consult with expectant mothers on an individual basis.”

“Our role extends to those undergoing other procedures at the hospital

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and what their particular requirements may be,” adds Niamh Kelly. “In addition, we would deal with patients who may be suffering from obesity and also patients who may have malnutrition; there is a very broad spectrum of cases,” she says, adding that patients today are a lot more informed about various diets and methods. One of the diets which they can prescribe at Mount Carmel is the low-FODMAP diet, a diet low in certain carbohydrates that have been identified as causing gastrointestinal problems. “While the diet is not for everyone, it is proving to be very effective with an 85 per cent upwards success rate to date,” says Niamh.

Ann says that the outpatients department would account for up to 50 per cent of the cases they deal with. “Patients can also

self-refer to the dietetics and nutrition clinics we provide, increasing the amount of patients we can see,” says Ann. “For a small department, we are very proud of the services which we provide. We also deal with the ethnic and religious dietary concerns of our increasingly diverse patient population; catering for Kosher, Chinese, Halal, West Indian and eastern European dietary requirements, to name but a few. We are very sensitive and culturally aware in this area,” she adds.

They provide an educational resource too, providing information to patients and also liaising with transition year students to provide them with an introduction to this area. “We also work with the Hospital’s Health Promotion Committee to promote awareness in areas such as diet, blood pressure and cholesterol, for example,” she adds.

“The diet is proving to be very effective with an 85 per cent upwards success rate to date.”

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

©iStockphoto/Thinkstock

Ann Jenkins, Senior Dietician and Niamh Kelly, Dietician, explain some of the services they provide to patients at Mount Carmel Hospital.

Mount Carmel Hospital

09/07/2013 12:34:57

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Physiotherapy Gynaecology

Physiotherapy

At Mount Carmel

chartered physiotherapist and referred on to on-site orthopaedic consultants as necessary.”

Gynaecology and general surgery “We are involved in the

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pregnancy both on an inpatient and outpatient basis. We assess women both pre and post natally and identify any person that requires additional physiotherapy involvement.

We run a pre-Cesarian

section support class for expectant mums who are informed in advance of delivery that they will require a C-section on a medical basis. All mothers are seen post-delivery and are invited to attend the post-natal classes that run three per week.

For new-born babies on the ward, physiotherapy offer treatment for Developmental Dysplasia of the Hip (DDH), by fitting a unique and easy to apply ‘French’ nappy, which is offering very positive results. We treat Positional Talipes, a condition in which the baby’s foot has turned inwards. We work alongside a dedicated team in dealing with premature arrivals and all that that entails in addition to their special needs as babies. Babies born with conditions such as Down’s Syndrome or any

©iStockphoto/Thinkstock

“T

Clare Farrell here are five assessment and treatment main areas of patients who are is a Chartered in which we admitted for a variety of provide physiotherapy surgical procedures such Physiotherapist services here at Mount as open hernia repairs, at Mount Carmel Carmel,” explains Clare. hysterectomies, anterior and posterior repairs, pelvic Hospital where she Orthopaedics floor repairs and TVTs. works alongside a “We provide treatment The strengths of Mount for patients who have Carmel are that there are team of chartered undergone a wide variety of no waiting lists, there is a dedicated care pathway, physiotherapists. Here procedures. These include major joint replacements there is a reasonable time she explains what and arthroscopic procedures frame for carrying out procedures and we have the services are available of multiple joints. We provide excellent follow-on finest specialists in various at the hospital rehabilitative programmes disciplines.” and continuing care for and why their Maternity and those who are discharged paediatrics from the hospital. We have holistic approach to also launched a new hip and “At Mount Carmel we are physiotherapy care is knee screening clinic, where involved in the care of women throughout their popular with patients. patients are assessed by a

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Physiotherapy Gynaecology

other genetic disorders are treated and cared for. These babies continue care as an outpatient until linked to services in the community.

It’s also important to remember that Mount Carmel has a Special Care Baby Unit (SCBU) which has a dedicated paediatric team all the time.

Medical Inpatients Patients are referred to us with a wide variety of medical conditions such as respiratory, neurological, musculoskeletal and general balance and mobility issues.We see these people, assess them and prescribe a treatment programme to improve their physical health. Where necessary, these patients can continue to be seen in our outpatient physiotherapy department or referred to our colleagues in the community.

Outpatients: “At the hospital, we provide a general outpatient physiotherapy service, specialising in a broad range of musculoskeletal issues. Patients who have attended the hospital can continue their rehabilitative treatment. Classes are provided for both hip and knee replacement placement patients, where they attend on a weekly basis to progress their rehabilitation and are monitored in small group sessions. Unique to this department is the Phototherapy TLO1 unit, in which narrow band UVB treatment is carried out for the psoriasis. Patients attend three times per week for a period of time.

Dr Geraldine Morrow is

our onsite dermatologist.

Biomechanical assessments are carried out utilising our Gait scanning equipment in the prescription of orthotics.

“Unique to our service is a dedicated women’s health and continence outpatient service. Patients who are experiencing problems both during and after their pregnancy are treated on an individual basis. Common conditions include pelvic girdle pain, carpal tunnel syndrome, postural fatigue and exercise advice. Weight management programmes in conjunction with the dietician are offered to those with increased BMI in pregnancy. Specialised physiotherapists trained with internal pelvic floor and manual therapy skills provide treatment for patients suffering with any bladder or bowel dysfunction. Common conditions treated include urinary incontinence, bowel dysfunction, prolapse, constipation and pelvic pain.

We have a dedicated team of consultant obstetricians and gynaecologists to whom we work closely alongside.

New to the services provided by Mount Carmel Hospital, is High Intensity Focused Ultrasound (HIFU) treatment for patients with prostate cancer. We also provide post-operative treatment for men suffering with male urinary incontinence post radical prostatectomy surgery. Acupuncture is also available.”

“Our dedicated outpatient paediatric team provides care to any baby

requiring physiotherapy for conditions such as plagiocephaly, muscular tortocollis, developmental delay, medically diagnosed conditions such as Down syndrome and cerebral palsy in the early part of life. A new service to Mount Carmel is our dedicated DDH clinic. We have onsite paediatric orthopaedic consultants, Ms Paula Kelly and Mr Moore. Pavlik Harnesses are fitted by our dedicated Paediatric Physiotherapy team who run the weekly DDH clinic.

Dr Slattery, Consultant Paediatric Radiologist, is on site to scan any baby that requires follow up.”

“Clare Farrell is a physiotherapist who specialises in women’s health and continence.”

“Education of patients is an important component of the physiotherapy department.

Early pregnancy classes and antenatal classes with multi-disciplinary team involvement are offered.

Baby massage classes have an education component for new mums covering topics like tummy time and management of colic and reflux. Pre-assessment orthopaedic information is given to all patients prior to surgery.”

“Like the hospital itself, we are a very progressive department,” adds Clare.

“The hospital is dedicated toward providing for the patient and their needs.

Excellent quality and ease of access to service helps to provides better outcomes for the patient. Our chartered physiotherapy team strive to provide optimum and individual care in a caring and friendly environment with the focus on patient care and a quality service.”

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

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Ophthalmology

Eye Surgery

at Mount Carmel Hospital Ophthalmology is a constantly advancing speciality, with new technologies and methodologies being continuously developed and implemented. At Mount Carmel Hospital, the ophthalmic team strive to bring these latest developments safely to their patients to achieve the best clinical outcomes, writes Professor Lorraine Cassidy, Consultant Ophthalmic Surgeon.

There are currently 11 Ophthalmic surgeons working at Mount Carmel Hospital. These surgeons cover a large range of sub-specialities, including oculoplastics, cataract surgery, strabismus (squint) surgery, glaucoma surgery, paediatric surgery, including paediatric strabismus and oculoplastic surgery, medical retina, vitro-retinal surgery and refractive surgery.

Through the consultant ophthalmic surgeons, there are links with the Royal Victoria Eye and Ear Hospital, which is the busiest and largest tertiary referral eye hospital in Ireland, the Adelaide and Meath National Childrens’ Hospital, Tallaght, St James’s University Hospital and Our Lady’s Hospital for Sick Children.

These are all teaching hospitals with links to Trinity College Dublin, the Royal College of Surgeons and University College Dublin.

There are also links with the Research and Learning Development Centre in the Royal Victoria Eye and

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Ear Hospital, where most of our ophthalmic research is carried out. Ophthalmic consultant clinics take place in a variety of hospitals and clinics around Dublin city.

The theatre Mount Carmel Hospital Eye Theatre has all the latest technology and equipment to deliver top-class eye surgery. Most importantly, we have a dedicated nursing team, which includes eyetrained nursing staff. This is essential as eye surgery is highly specialised and requires highly-trained nursing staff to deliver the highest standard of care.

It takes one year of extra specialised training after general nursing to become and ophthalmic trained nurse. These nurses are essential to our work.

Links with other specialities Many different systemic conditions, such as heart disease, rheumatoid arthritis, neurological conditions and diabetes, to name but a few, can affect the eye. All consultants are available to provide ophthalmic consultations, examinations and treatments to patients

attending Mount Carmel with medical conditions. In turn, our medical colleagues are also available to attend ophthalmic patients whenever necessary.

Maternity Unit and Eye Care Mount Carmel Hospital has an extremely busy maternity unit. Mothers and babies can develop eye problems associated with pregnancy and premature birth. Babies may also be born with eye problems and need immediate diagnosis and care. Mount Carmel Hospital has two paediatric trained consultant ophthalmologists, who are available to see babies with eye problems and provide treatment if required. We also provide eye care for mothers with pregnancy related eye disease.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 490 9322

©iStockphoto/Thinkstock

The ophthalmology team

Mount Carmel Hospital

09/07/2013 12:35:10

Gynaecology

Changing Face of Gynaecological Care Professor Walter Prendiville, Consultant Gynaecologist at Mount Carmel, explains the services available at the hospital and how the nature of gynaecological procedures is changing.

Laparoscopic hysterectomy is associated with huge advantages, i.e. shorter recovery, less pain, quicker return to work and less expense to the patient.

© Capifrutta/iStockphoto

G

ynaecology, like many other specialities, is moving from the traditional model of consultation and subsequent inpatient procedure to one of consultation and immediate office or outpatient procedures. Traditionally a woman with dysfunctional uterine bleeding would be managed by way of consultation, referral for an ultrasound scan and perhaps admission for hysteroscopy D&C followed by a further consultation and advice about management, followed by a Mirena insertion or endometrial ablation.

Today the same patient may be managed by way of consultation, trans-vaginal ultrasonography and office hysteroscopy/endometrial curette and Mirena insertion all at the same visit.

Outpatient hysteroscopy is

now firmly established as the investigation of choice in women with dysfunctional uterine bleeding of suspected endometrial origin. With current 3mm or 4mm hysteroscopes, passing a hysteroscope in the office environment without the need for either speculum or tenaculum forceps on the cervix really is a very comfortable procedure and is perceived, by many women, as being less uncomfortable than a speculum examination and a cervical smear.

Inpatient treatment is also shortening. Hysterectomy by way of laparotomy or even vaginally was associated with a five-day, or more, inpatient stay. Today laparoscopic or laparoscopic assisted vaginal hysterectomy is usually associated with a 48 or 72 hour inpatient stay.

Ireland has eventually established a cervical screening programme, which is hugely welcome.

For reasons that are difficult to understand, the screening service for the national programme was based in the US, which has produced some difficulty for colposcopists and their patients, but slowly over time, the cytology services are moving back to Ireland.

This will allow much closer collaboration between cytologists, pathologists and colposcopists as well as a hopefully improved abnormality reporting rate.

A colposcopy service has been available in Mount Carmel for some time.

Several gynaecologists with an interest in colposcopy are coming together to provide an integrated and seamless colposcopy service. These are Peter Lenehan, Mona Joyce and Walter Prendiville. The new colposcopy service will allow rapid appointment within 48 hours and there will be a clinic almost every day.

Range of services Mount Carmel Hospital provides a wide range of gynaecology services, from diagnostic investigations to day care and inpatient procedures.

Diagnostic services include: • Colposcopy • Smear testing • Urodynamics Ultrasound scans can be arranged at Mount Carmel to support diagnosis of all conditions: • Endometriosis • Fybroids • Ovarian cysts • D&C • Hysteroscopy • Bartholins cysts Surgical procedures include: • Perineal repairs • Hysterectomy • Colposcopy • D&C • Myomectomy / Fybroidectomy • Hysterectomy • Colpoperineorrhaphy • Ovarian cystectomy

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Gastroenterology

An Expanding Range Of Services ensure that the clinical and administrative infrastructure is in place to provide an excellent level of care to patients. The patient population at Mount Carmel is very loyal to the hospital, with many patients availing of its services for many years. There is a very strong post-operative support system in place which is very organised and this is complemented by very experienced staff,” he adds.

©morofoto/iStockphoto

Mr Emmanuel Eguare is a Consultant Gastroenterology and Colorectal Surgeon at Mount Carmel Hospital. He explains the range of services at the hospital in this area and why patients are assured of an excellent level of care.

“H

ere at Mount Carmel we provide a range of biliary, gastrointestinal and colorectal procedures for

our patients,” says Mr Eguare. “We are now able to provide an expanding range of minimally invasive procedures and endoscopic investigations,” he adds.

These include advanced laparoscopic procedures such as laparoscopic cholecystectomy, diagnostic laparoscopy and a full range of hernia repairs and ano-rectal procedures such as haemorrhoidectomy and haemorrhoidal dearterialisation (THD).

At Mount Carmel, patients can also avail of other minimally invasive procedures such as gastroscopy and cystoscopy.

“Mount Carmel is an extremely dedicated hospital,” says Mr Eguare.

“They have invested to

“The nursing staff here at the hospital are excellent and the consultant staff can rely on them for patient information. This is particularly beneficial for consultants that see an increasing number of their patients on an outpatient basis. Going forward, I am pleased to continue developing my practise here at Mount Carmel and working closely with local GPs to ensure appropriate patient referrals here to the hospital. Mount Carmel has made a significant technological investment and I anticipate that it will continue to develop its range of services to ensure our patients are treated in the most appropriate manner.

I would hope to see the development of a dedicated endoscopic suite in the near future and this would greatly add to the services available,” adds Mr Eguare.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 406 3449

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Endoscopy

Endoscopy at Mount Carmel

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E

ndoscopy has evolved into a common procedure for patients and Mount Carmel’s Direct Access Endoscopy service reflects this. Mount Carmel offers the option of Direct Access Endoscopy to referring GPs to expedite patient care. Dr Conor O’Brien explains that waiting time

is minimal: “You could make an appointment and the procedure could be carried out within 24 or 48 hours. We can get an urgent result in 24 or 48 hours and a non-urgent result in seven days. So it is a very rapid service.” This service means easy access to patients, meaning more efficient results for both the

patient and their GP. There are two dedicated suites for endoscopy at Mount Carmel which allows a greater number of patients to be seen every day. In order to be seen, patients must have a referral from their GP. At Mount Carmel they specify which consultant they would like

©Neustockimages/iStockphoto

Consultant Gastroenterologist, Dr Conor O’Brien, explains the services offered in Mount Carmel’s endoscopy department.

Mount Carmel Hospital

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Endoscopy

to see or be put on the next available list.

Patients come in to the Endoscopy Department as day-patients after being referred by their GP. “Essentially the GP decides they need the procedure done and refers them directly so the patient doesn’t need to pay to see a consultant initially,” adds Dr O’Brien.

The main services offered to patients in the Endoscopy Department are gastroscopy, colonoscopy and sigmoidoscopy. They also do other procedures such as removal of polyps and haemorrhoids. The

hospital also offers full and comprehensive follow-on treatment to patients as required with direct access to specific expertise in the fields of surgery and radiology, including CT colonography.

Dr O’Brien mentions that there has been an increase of people availing of the endoscopy service in Mount Carmel recently.

He believes this is due to increased awareness about colorectal cancer. “There is awareness about the dangers of colorectal cancer and people are becoming more aware of their symptoms, so the numbers have increased dramatically over the last

“Minimal waiting time and convenient access to patients is the primary aim of the unit” six months.” He says they also see patients who have a family history of bowel cancer or concerns regarding a change in their bowel habits, these queries are dealt with by screening colonoscopies. Dr O’Brien explains that because of this, many procedures are about reassuring patients and making them more aware of their health. “I think there is heightened awareness of the procedures now, and how straightforward the process is,” he adds.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 676 3489

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Respiratory Medicine

Respiratory Medicine At Mount Carmel Consultant Respiratory Physician, Professor Stephen Lane, details the services available to patients at Mount Carmel Hospital. the treatments, in addition to the standard of care at Mount Carmel, makes it an excellent choice for patients. “We have a very good team ethos at Mount Carmel, built upon the very strong levels of experience at all levels within the clinical staff, from consultant to nursing. The nursing staff is exceptional in terms of experience and their case knowledge is a real asset for my colleagues and I as consultants.”

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• Four respiratory consultants (see consultant directory) who are available to see patients in rooms upon request • Radiologists with a specific interest in respiratory diseases • Inpatient beds • Fibreoptic bronchoscopy • Pleural aspiration and drainage • Thoracic imaging In addition to the above, Mount Carmel, via their consultants, has access to detailed pulmonary function studies including facilities for sleep studies, airway challenges, allergy testing and cardiopulmonary exercise testing.

Professor Lane believes that the consultant-led nature of

Working with patients on a referral basis, Professor Lane is clear about why doctors should refer their patients to Mount Carmel for treatment for respiratory conditions. “If they want their patient to be seen rapidly for accurate and thorough investigation of a respiratory condition, Mount Carmel is an excellent choice. Many of our cases are seen on an outpatient basis and the system is streamlined to ensure rapid intervention.”

Going forward, Professor Lane would like to see the possible establishment of a sleep disorder clinic to investigate problems such as sleep apnoea and is optimistic about the development of such services at the hospital.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 414 2703

©iStockphoto/Thinkstock

P

rofessor Lane has worked at Mount Carmel for over 14 years, in addition to his work at other medical institutions. He points out that respiratory disorders are amongst the most common conditions referred by GPs for further assessment and treatment. These conditions include asthma, COPD, bronchiectasis, acute and chronic lung infections, interstitial lung diseases and pulmonary vascular disorders. Initial investigations relating to more complex respiratory illnesses including lung cancer can also be instigated. Mount Carmel has the following facilities on site for patients with lung disease:

Mount Carmel Hospital

09/07/2013 12:30:30

Endocrinology

Endocrinology at Mount Carmel The Endocrinology Department at Mount Carmel Hospital is dedicated to quality treatment for its patients. Dr Kevin Moore discusses.

The Team The endocrinology team at Mount Carmel Hospital consists of Consultant Endocrinologist, Kevin Moore, two dieticians and a diabetes liaison nurse.

Together they provide a full range of outpatient endocrine services to their patients. Endocrinology is the study of glands and the hormonal control of the body, the regulation of which can be upset by such conditions as diabetes and pituitary malfunction. At Mount Carmel Hospital; the main emphasis is looking after pregnancyrelated endocrine problems such as gestational diabetes.

Gestational Diabetes Gestational diabetes occurs in women who exhibit high blood glucose levels during pregnancy.

Hormones produced by the placenta during pregnancy make the body less sensitive to insulin and as a result the hormones climb. This is the most common pregnancyrelated endocrine problem that we treat here at Mount Carmel. We have approximately 100 patients presenting with gestational diabetes every year. Once

they have been diagnosed, they meet with our diabetes liaison nurse who educates them on how to intensively monitor their blood sugar levels. They also meet with our dietician who takes them through the dietary implications of their condition. As many as half of our gestational diabetes patients can control their condition with dietary management.

The other fifty per cent require medication as well as dietary management.

We provide a very comprehensive service to our patients and are in touch with them two to three times per week for updates on their blood sugar levels and see them frequently during the third trimester of their pregnancy. We work closely with the obstetrician and monitor the baby on a regular basis to ensure that their sugars are controlled and that the baby is growing appropriately.

The majority of women’s blood glucose levels go back to normal as soon as they deliver. Only a small number go on to have diabetes. We carry out a blood glucose check six weeks after delivery to see if the blood glucose

levels have normalised. We would advise all women who have had gestational diabetes to have a followup screening blood test for diabetes every one to two years as they carry a higher risk of long term development of Type II diabetes. Women who suffer from gestational diabetes during pregnancy carry a very high risk of diabetes in future pregnancies. We recommend they get in touch with the diabetes services as soon as they get pregnant in order for it to be appropriately monitored and managed.

This service has been in place here at Mount Carmel Hospital for the past 18 months.

The Service We provide a full range of outpatient adult endocrine services. We treat pituitary problems and adrenal problems, right through to reproductive hormone problems like testosterone and oestrogen abnormalities. We also treat a large number of patients suffering with thyroid disease in pregnancy.

These cases are predominantly treatable with medications but we

do work with our surgical colleagues to treat pituitary or thyroid abnormalities.

Advances in care In terms of diabetes, there has really been an explosion of new treatments available with the onset of new drugs such as DPP4 inhibitors and the GLP1 agonists.

These are a very welcome addition to the medication options for patients with Type II diabetes. These classes of medications are showing very good results.

In particular, it is very helpful to use the GLP1 agonist medications for those patients who are over weight and are looking for treatments that will deliver weight loss as well as get their blood sugar under control.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 406 3449

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Dermatology

Dermatology at Mount Carmel The Dermatology Department at Mount Carmel offers a number of services to patients, as Dr Geraldine Morrow explains.

The Team

Services and Treatments Dr Morrow explains that the department treats everybody from newborn babies and upwards and they treat all skin related issues from standard skin diseases like eczema, acne and psoriasis, to checking for skin cancers.

Typical procedures in the department also include biopsy of skin rashes, removal of moles and small skin cancers with the

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plastic surgeons dealing with larger skin cancers. Dr Morrow also specialises in occupational dermatology, which are work-related skin diseases, often seen in those who do wet-work like catering staff, hairdressers and health care staff and on those who work in low humidity environments like offices.

The department deals with patients on a day-case basis and Dr Morrow explains that most procedures take about an hour with patients under local anaesthetic.

Most patients will have seen one of the doctors in the department prior to their appointment or will have been referred by their GP. Most of the treatment is then followed up by creams, ointments or other suitable prescriptions.

Phototherapy One of the most impressive assets of Mount Carmel’s

dermatology department is their Narrow Band Phototherapy Machine.

This provides an ultraviolet light treatment for patients and is excellent in the treatment of psoriasis.

Mount Carmel is one of the only private hospitals in the country to have invested in this technology, making it a centre of excellence in the treatment of conditions like psoriasis. Dr Morrow explains the principle of phototherapy: “Normal light has different calibres of rays within it, but the burning ones are the rays that can cause skin disease.

We remove those rays from the process and the results are very beneficial for patients,” she says.

“The process is strictly supervised and we have a specialised area for it. It is very effective for itchy skin conditions like psoriasis, hard to control eczema and skin diseases during pregnancy.”

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie Private: 01 406 3449

©Thomas_EyeDesign/iStockphoto

Dr Geraldine Morrow is a consultant dermatologist at Mount Carmel. She is a graduate of UCD and trained in dermatology at the Mater Hospital, Dublin and St Anne’s Skin and Cancer Hospital, Northbrook Road, Dublin.

She has been in private practice since 1995. The department also includes consultant dermatologist Dr Nicholas Walsh. The team works closely with the physiotherapy and plastic surgery departments.

Mount Carmel Hospital

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Consultant Directory

Consultant Directory Obstetrics Dr. Julian Dockeray ** 01 418 8401 Dr. Valerie Donnelly ** 01 499 6348 Dr. Andrea Nugent ** 01 499 6396 Dr. Laoise O’Brien** 01 499 6349 Dr. Gerry Rafferty ** 01 499 6349 Dr. Patrick Tunney ** 01 492 3544

Age-related Medicine Dr. Ronan Collins ** 01 406 3449

Cardiology Dr. Robert Kelly ** 01 283 9627 Dr. Mark Laher 01 283 5074 Dr. Vincent Maher 01 418 8478 Dr. Dermot McCaffrey 01 292 0570

Mr. Brian Mehigan** 01 416 2361

Mr. Ken Halpenny 01 475 1313

Dr. David Mulcahy 01 406 3449

Mr. Paul Neary 01 645 9516

Mr. Andrew Norris 01 475 1313

Colorectal Surgery

Dental Surgery

Mr. Emmanuel Eguare 01 418 8405

Dr. Shaunine Gallagher 01 406 3449

Mr. Spencer Woolfe 01 475 1313

** Indicates Consultant has rooms at Mount Carmel Hospital

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Consultant Gynaecology Directory

Dermatology

Mr. Diarmuid O’Riordan 01 292 0595

Prof. Walter Prendiville ** 086 772 3233

Prof. John Reynolds 01 416 2500

Dr. Gerry Rafferty ** 01 499 6349

Endocrinology

Prof. Des Winter ** 01 269 5033

Dr. Patrick Tunney ** 01 492 3544

Prof. Michael Cullen 01 206 4221

Gastroenterology

Haematology

Dr. John Hollingsworth 01 278 4363

Dr. Don McCarthy 01 209 4280

Prof. Hugh Mulcahy ** 087 280 7695

Hepatology

Dr. Geraldine Morrow ** 01 406 3449 Dr. Nicholas Walsh 01 836 0633

Dr. Kevin Moore** 01 406 3449

ENT Dr. Camilla Carroll** 01 213 5640 Mr. Michael Colreavy 01 899 7010 Mr. Brendan Conlon ** 01 410 3574 Prof. Aongus Curran 01 231 5275 Mr. Stephen Hone ** 01 645 9545 Mr. John Kinsella ** 086 052 6705 Mr. Rory McConn Walsh 01 206 4561 Mr.Donald McShane 01 418 8400

General Medicine Dr. John Fennel** 01 211 5228 Dr. Mark Laher 01 283 5074

General Surgery

Dr. Conor O’Brien ** 01 676 3489 Dr. Deirdre O’Donovan 01 206 4547

Dr. Conor O’Brien** 01 676 3489

Nephrology Dr. George Mellotte ** 01 499 1878

Oncology

Mr. Cathal O’Keeffe 083 103 6333

Mr. Ken O’Byrne 01 410 3545

Prof. Colm O’Morain 01 418 8402

Ophthalmology

Gynaecology

Mr. Donal Brosnahan 01 418 8421

Mr. Kelvin Boos ** 01 406 3449

Mr. Mark Cahill 01 213 5652

Dr.Julian Dockeray ** 01 418 8401

Prof. Lorraine Cassidy 01 490 9322

Dr. Mona Joyce ** 01 499 6330

Dr. Elizabeth Chacko 01 450 5533

Mr. Peter Lenehan** 01 406 3400

Mr. Richard Corkin 01 293 0470

Dr. Eamonn McGuinness 01 474 2416

Dr. Aoife Doyle 01 490 9322

Dr. Andrea Nugent ** 01 406 3401

Mr. Emmanuel Eguare ** 01 418 8405

Dr. Laoise O’Brien** 01 499 6349

Mr. Brian Mehigan ** 01 416 2361

Dr. Hugh O’Connor 01 408 5479

Dr. Andra Bobart Hone 01 406 3449 Ms.Katherine McCreery** 01 210 3653 Dr. Patricia McGettrick 01 296 2020

** Indicates Consultant has rooms at Mount Carmel Hospital

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Mount Carmel Hospital

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Consultant Directory

Mr. Paul Moriarty 01 418 8442 Dr. Paul O’Brien 01 206 4596 Mr. Martin O’Connor 01 418 8435

Orthopaedics Mr. Sean Dudeney 01 288 0629 Mr. Niall Hogan 01 526 2210 Mr. Brian Hurson 01 206 4247 Ms. Paula Kelly** 01 406 3449 Mr. Tom McCarthy 01 526 2270 Prof. John McElwain 01 288 8618 Mr. David Moore** 01 288 5552 Mr. Paul Nicholson 01 230 1772 Mr. Kieran O’Rourke 01 260 0556 Mr. William Quinlan ** 01 280 8521

Paediatric Surgery Prof. Prem Puri 01 292 0530

Mr. Feargal Quinn** 01 409 6242

Paediatric Radiology Dr. Jim Slattery 01 406 3443

Paediatric Dental

Radiology

Ms. Evelina Kratunova 01 406 3400

Dr. Louise Coffey 01 406 3443

Mr. Andrew Norris 01 475 1313

Dr. Neil Hickey 01 406 3443

Ms. Abigail Moore 01 668 4357

Dr. Brendan Hogan 01 406 3443

Paediatrics

Dr. David Stafford-Johnson 01 406 3443

Dr. Irfan Ahmed 01 406 3465 Dr. Ibraheem A. Krebit 01 406 3465 Dr. Saulius Satas 01 406 3465 Dr. Clodagh Sweeney 01 406 3465 Dr. Matthew P. Varghese 01 406 3465

Respiratory Medicine Dr. Harry Beauchamp 01 283 3040 Prof. Stephen Lane 01 414 2703 Dr. Eddie Moloney 01 414 3026 Dr. Deirdre O’Riordan 01 418 8408

Dr. Vladka Vilimkova 01 406 3465

Rheumatology

Plastic Surgery

Dr. Roger Feely ** 01 280 3619

Mr. Eamon Beausang 01 410 3947

Urology

Ms. Margaret O’Donnell 01 206 4419 Mr. David O’Donovan 01 645 9565 Mr. Matt McHugh 01 497 0435 Dr. Caitriona Lawlor 01 406 3449

Mr. Ronald Grainger 01 418 8433 Prof. Thomas Lynch ** 01 499 6330 Mr. Ted McDermott 01 418 8431

Vascular Surgery Mr. Denis Mehigan ** 01 406 3449

Mr. Colin Riordan 01 206 4251 Mr. Anthony Ryan 01 288 3400

** Indicates Consultant has rooms at Mount Carmel Hospital

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Patient Information

Patient information Admission Time/ Check In

Insurance Cover/ Shortfalls

Please check your admission time with your consultant’s private secretary. On arrival at the hospital, please check in at the main reception area and you will be directed to the appropriate area for your admission to be processed.

It is important that you bring details of your insurance cover, membership number and plan as you will need to complete a health insurance form on admission. If you have a shortfall on your policy, you will be contacted by our accounts team in advance of admission and can pay your shortfall at this time or on admission.

Visiting Hours For inpatients undergoing general surgery, visiting times are 1-5pm and 6-9pm.

Items to bring for an overnight stay

In the interest of ensuring the highest level of comfort for patients undergoing major surgeries, visiting hours are 2-4pm and 6-8pm.

Immediate family may only be admitted, depending on the patient’s level of wellbeing. Children under seven are not permitted.

If your visit to the hospital requires an overnight stay, the following items may be useful: • Pyjamas or night dress • Dressing gown and slippers • Toiletries (soap, toothbrush, toothpaste, brush, tissues etc).

Maternity patients do not have strict visiting times, all immediate family are allowed and duration of visit is at the discretion of the midwives as each case is different.

Allergies

Fasting/Admission Instructions All patients attending for a surgical procedure or endoscopy need to fast completely from midnight the night prior to surgery – no food or drink (including water) allowed after midnight.

Patients should remove all jewellery, make up, contact lenses and nail varnish prior to having a surgical procedure.

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mount carmel 26-36.indd 36

Patients are requested to alert nursing staff to any allergies/reactions to medication they may have.

Medications Patients are requested to bring any medications they are taking and copies of any prescriptions if possible.

Please leave your valuables at home. Whilst your room will have a personal safe, Mount Carmel cannot accept responsibility for loss or damage to personal possessions whilst you are in the hospital.

Paediatric Admissions Please note the following for children attending for

surgery: • Fasting instructions need to be checked directly with your consultant.

• All minors under the age of 16 must be accompanied by an adult. If your child requires an overnight stay, one parent must stay overnight and accommodation will be provided.

• Siblings of children are not permitted to attend the hospital outside of visiting times.

• For younger children, please bring a favourite toy or teddy bear on the day.

• Patients are requested to bring any medications they are taking and copies of any prescriptions if possible.

If you have any concerns about your child’s admission to the hospital, please contact any of our team in Patient Services on Tel: 01 406 3462/499 6301

Day Patients Overview All patients scheduled for day-care procedures must have nothing to eat or drink (including water) from midnight of the previous day. Please check with your consultant if you may take prescribed medication on the day of the procedure.

Arrive at the time indicated on your appointment letter, which should be brought with you for confirmation/

clarification purposes.

Bring details of your health insurance cover with completed self-assessment forms and any medication you are taking.

Bring night attire and slippers (soft walking shoes or runners for those having an orthopaedic procedure).

Remove all jewellery, make up and contact lenses if applicable.

Minors or those under 18 may be accompanied by an adult. Siblings are not permitted.

All patients having a daycare procedure should not drive or drink alcohol for the first 24 hours after your procedure. We would ask that a responsible adult accompany you home after your procedure.

The nurses in the daycare unit will be happy to answer any other queries and may be contacted at 01 406 3400.

Contact Details Mount Carmel Hospital, Braemor Park, Braemor Road, Churchtown, Dublin 14, Ireland PH: 01 406 3400 FX: 01 406 3434 Email: mountcarmel@ mcm.ie

Mount Carmel Hospital

09/07/2013 12:30:36

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